DR. MARY PEACOCK HARWARD (NPI# 1407835275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407835275 |
| Entity Type | Individual |
| Full Name | DR. MARY PEACOCK HARWARD |
| Credential | M.D. |
| Practice Address |
1234 W Chapman Ave Suite 105 Orange CA 92868-2862 |
| Practice Telephone | 7145324915 |
| Practice Fax Number | 7145329719 |
| Mailing Telephone | 7145324915 |
| Mailing Fax Number | 7145329719 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
G50028 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1234 W CHAPMAN AVE SUITE 105 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988662 | Ivy-joan Erinma Madu | Internal Medicine | 1234 W Chapman Ave, Suite 205, Orange, CA 92868-2862 | 2005-08-02 |
| 1013456672 | Trucare Medical Corporation | Internal Medicine | 1234 W Chapman Ave, Ste# 101, Orange, CA 92868-2862 | 2017-02-15 |
| 1902175276 | Robin Fordham | Physician Assistant | 1234 W Chapman Ave, Suite 101, Orange, CA 92868-2862 | 2011-12-15 |
| 1407164460 | Diabetes Associates Medical Group | Internal Medicine | 1234 W Chapman Ave, Suite 205, Orange, CA 92868-2862 | 2010-09-23 |
| 1689863995 | 1st Industrial Medical Group | Chiropractor | 1234 W Chapman Ave, Suite 204, Orange, CA 92868-2862 | 2007-10-23 |
| 1700927332 | Sandra Lyn Stevens-suratt | Optometrist | 1234 W Chapman Ave, Suite 201, Orange, CA 92868-2862 | 2007-02-08 |
| 1972654887 | Body Tech Sports & Rehab | Chiropractor | 1234 W Chapman Ave, Suite 204, Orange, CA 92868-2862 | 2007-01-16 |
| 1699842385 | Mark William Bennallack | Chiropractor | 1234 W Chapman Ave, Suite # 204, Orange, CA 92868-2862 | 2006-11-29 |
| 1063469120 | Byron Munehiro Fennema | Optometrist | 1234 W Chapman Ave, Suite 201, Orange, CA 92868-2862 | 2006-05-27 |
| 1942256037 | Byron M Fennema O.d. Inc | Optometrist | 1234 W Chapman Ave, Suite 201, Orange, CA 92868-2862 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740532910 | Magdi Messiha, M.d., Inc | Internal Medicine | 303 W Katella Ave, Suite 272, Orange, CA 92867-4750 | 2012-10-11 |
| 1770685521 | Shashidar B Acharya | Internal Medicine | 1240 E Chapman Ave, Orange, CA 92866-2217 | 2006-09-02 |
| 1104151042 | Xaviour James Walker | Internal Medicine | 200 S Manchester Ave, Suite 835, Orange, CA 92868-3217 | 2009-10-09 |
| 1437358173 | Angela Tan | Internal Medicine | 101 The City Dr S, Ste 835, Rte 81, Orange, CA 92868-3201 | 2007-07-13 |
| 1447456769 | Jamie C Fertal | Internal Medicine | 101 The City Dr S, Senior Health Center, Orange, CA 92868-3201 | 2007-06-24 |
| 1841343076 | Robert William Buster | Internal Medicine | 845 W La Veta Ave Ste 108, Orange, CA 92868-3930 | 2007-01-19 |
| 1710030960 | R. William Buster, M.d. and Associates | Internal Medicine | 845 W La Veta Ave Ste 108, Orange, CA 92868-3930 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1972065704 | Joseph A Habis Md | Internal Medicine | 359 Bel Marin Keys Blvd Ste 22, Novato, CA 94949-5637 | 2019-04-01 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1972081412 | Ahra Cho, M.d., Inc | Internal Medicine | 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 | 2018-08-06 |
| 1013401975 | Robert H Moon Md, Inc | Internal Medicine | 181 Rea Ave, El Cajon, CA 92020-3985 | 2018-06-14 |
| 1821587585 | Aost Healthcare Services | Internal Medicine | 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 | 2018-05-08 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1427588417 | Vivacitas Medical Group PC | Internal Medicine | 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190 | 2017-06-13 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.